Provider Demographics
NPI:1275508368
Name:SCHUETZ, HUGH A (DO)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:A
Last Name:SCHUETZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:MO
Mailing Address - Zip Code:65559-1078
Mailing Address - Country:US
Mailing Address - Phone:573-265-8840
Mailing Address - Fax:573-265-8884
Practice Address - Street 1:1000 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:MO
Practice Address - Zip Code:65559-1078
Practice Address - Country:US
Practice Address - Phone:573-265-8840
Practice Address - Fax:573-265-8884
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO111580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO248881609Medicaid
MO296573OtherHEALTHLINK
MO596841403Medicaid
MO431908560OtherPHCS
MO5512537OtherAETNA
MO431908560OtherTRIWEST
MO0100828OtherUNITED HEALTH CARE
MO117532OtherGROUP HEALTH PLAN
MO5512537OtherAETNA
MO0100828OtherUNITED HEALTH CARE
MO596841403Medicaid